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CTRI Number  CTRI/2019/12/022542 [Registered on: 27/12/2019] Trial Registered Prospectively
Last Modified On: 26/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Prediction of difficult airway via preoperative LEMON’S airway assessment criteria 
Scientific Title of Study   Incidence and Prevalence of Difficult Airway by correlating The LEMON’S Assessment score with The Cormack Lehane Grading at the time of laryngoscopy – An Observational study  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Prerana Nirav Shah  
Designation  Professor (Additional) 
Affiliation  Professor (Additional) Affliation GSMC KEMH  
Address  Department of Anaesthesiology, GSMC KEMH, Parel Mumbai MAHARASHTRA 400012 India

Mumbai
MAHARASHTRA
400012
India 
Phone  9869117027  
Fax    
Email  PPS@KEM.EDU  
 
Details of Contact Person
Scientific Query
 
Name  Dr Natasha Imtiyaz Bengali 
Designation  Resident  
Affiliation  GSMC KEMH  
Address  Department of Anaesthesiology, GSMC KEMH Parel Mumbai MAHARASHTRA 400012 India

Mumbai
MAHARASHTRA
400012
India 
Phone  9819354194  
Fax    
Email  natashabengali718@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Natasha Imtiyaz Bengali 
Designation  Resident  
Affiliation  GSMC KEMH  
Address  Department of Anaesthesiology, GSMC KEMH Parel Mumbai MAHARASHTRA 400012 India


MAHARASHTRA
400012
India 
Phone  9819354194  
Fax    
Email  natashabengali718@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, 1st floor, GSMC KEMH Mumbai 400012  
 
Primary Sponsor  
Name  GSMC KEMH  
Address  Department of Anaesthesiology, 1st Floor, old hospital building, Parel, Mumbai 400012  
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Natasha Imtiyaz Bengali  GSMC KEMH  Department of Anaesthesiology, GSMC & KEmMH, Parel Mumbai MAHARASHTRA
Mumbai
MAHARASHTRA 
9819354194

natashabengali718@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee IEC-II   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1) Participants undergoing all kind of elective surgery requiring endotracheal intubation
2) Patients above 18 years of age  
 
ExclusionCriteria 
Details  1) Patients refusing to participate in the study 2) Patient with an in-situ endotracheal tube 3) Pregnant woman 4) Patients requiring Rapid Sequence Intubation (RSI). 5) Patients having a restricted mouth opening of <2cm or Temperomandibular joint immobility in whom laryngoscope cannot be inserted and hence Cormack Lehane Grading not possible.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the incidence of anticipated difficult airway by using the LEMON airway score method and ï‚· To correlate how LEMON method helps in determining difficult intubation with the Cormack-Lehane grade visualized at the time of laryngoscopy  day prior to surgery 
 
Secondary Outcome  
Outcome  TimePoints 
duration of laryngoscopy, ï‚· duration of intubation and ï‚· number of attempts of successful intubation  On day of Surgery 
 
Target Sample Size   Total Sample Size="380"
Sample Size from India="380" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/12/2019 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The prediction of a difficult airway is still a major concern in anaesthesia. A general limitation in the real life clinical setting is that one cannot have all kinds of alternative airway equipment’s at any given time in any given location. Therefore, it is helpful to know beforehand which type of airway problem is expected in each individual patient and consequently which logistic precautions have to be taken in advance. In this study we shall use LEMON SCORE to evaluate patient’s airway and correlate it with Cormack-Lehane (CL) grade visualized at the time of laryngoscopy. This prospective and observational study will be done in 380 patients of age above 18 years of age posted for elective surgery undergoing general anaesthesia requiring endotracheal intubation. The aim of the study is to find out the diagnostic value of LEMON airway assessment score for prediction of difficult laryngoscopy and intubation. In addition duration of laryngoscopy, duration of intubation and number of attempts shall also be noted.  
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